Grigorov N, Glavincheva I, Etŭrska M
Vutr Boles. 1986;25(6):28-32.
The results from 116 echographic investigations of 74 females and 42 males with confirmed pancreas carcinoma are discussed, the patient aged from 27 to 80 years. The diagnosis has been confirmed operatively in 92, at necropsy--in 16 and clinically--in 8. Thin needle aspiration biopsy (TAB), under echographic control was performed to 47 patients. The results were compared with the results obtained by computer tomography, endoscopic retrograde cholangiopancreatography and selective angiography. It has been established that the combination of echography with TAB results in 81.9% accuracy of the method, in 6% presumed neoplastic diagnosis and in 22.1% the diagnosis was not made. The results are significantly better than those obtained only by echography (p less than 0.01). A diagnostic scheme for the timely diagnosis of pancreatic cancer is presented.
本文讨论了对74名女性和42名男性确诊胰腺癌患者进行的116次超声检查结果，患者年龄在27至80岁之间。92例经手术确诊，16例经尸检确诊，8例经临床确诊。对47例患者在超声引导下进行了细针穿刺活检（TAB）。将结果与计算机断层扫描、内镜逆行胰胆管造影和选择性血管造影的结果进行了比较。结果表明，超声检查与TAB相结合，该方法的准确率为81.9%，6%为疑似肿瘤诊断，22.1%未做出诊断。结果明显优于仅通过超声检查获得的结果（p<0.01）。本文还提出了一种胰腺癌的及时诊断方案。
